Provider Demographics
NPI:1104874833
Name:BELL, LINDSAY ALLISON (PT)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:ALLISON
Last Name:BELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:LINDSAY
Other - Middle Name:ALLISON
Other - Last Name:TEKOTTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2604 SHAMROCK DRIVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202
Mailing Address - Country:US
Mailing Address - Phone:573-581-3000
Mailing Address - Fax:573-581-0888
Practice Address - Street 1:222 E JACKSON ST
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:MO
Practice Address - Zip Code:65265-2821
Practice Address - Country:US
Practice Address - Phone:573-581-3000
Practice Address - Fax:573-581-0888
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2006009295225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist